Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00792
h . � � DEVELOPMENT SERVICES DATE ISSUED: 12/10/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AB 00400
SITE ADDRESS: 14345 SW 112TH AVE #6
SUBDIVISION: THE COLONIES APARTMENTS ZONING: R-12
BLOCK: LOT : 1 -5 JURISDICTION: TIG
Project Description: Install new meter base & panel for house & parking lot lights.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W /SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
IRVING CORP OREGON ELECTRIC CONST /GROUP
4620 E CLEARWATER PKWY 1010 SE 11TH AVE
PARADISE VALLEY, AZ 85253 PORTLAND, OR 97214
Phone: Phone: 503 - 535 -2652
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/10/200 $167.25
[TAX] 8% State Surcharge 12/10/2004 $13.38 Rough -
Elect'l Final
Total $180.63 Elect'l Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Issued By: ' , / j'5 e Permit Signature: _SIR .e— c \-) `e
OWNER INSTALLATION ONLY \
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
DEC -10 -04 16:34 FROM- T -701 P.002/002 F -517
Electrical Permit ADpllcation . 1
Received Ptamit No.: .
• UI of Tigard oaselBy; / - /d - o ' �/ -C ,22A ( I as 792
13125 SW Hall Blvd., Tigard, OR 97223 � � ' Plan Rmacw
.4
Phnnc: 503,639171 Fax: 503.598.1966 1/ b c +rM 1 { Draelny,: Other Penult:
^ I
Inspection Line: 503.639.4175 vtl ..,.,• ` I I , D ata Rendy/By: /1' ®iiee Pate 2 for
Internet: www.oi.tigard.or.us 1 `1004 NorifiedNiethod: T /�t Supplemental information
J , i.r.rr,w - L - ✓er 7t n1i ��,��1 r �t 'P � fir i•w 11•i'.' . ,,„ , L ..' .j SIN r,.+d;Y Re .?..10%..) , 'tf r
t �� fi t 1 1 ! ! t 3^^' v ,
- lt I.'ntrr ¢ t�. r,< � (xp I�''� +{ 1'� 1 � ,°"`�''� �r�S U�r�. w} }7� SL ,�' ,,�����J��)."tj�rx�?i ;;;ddP�+ ���r �dfN r y
,:+� Ir { '� I+�,, ry1 I�; - � .�19•. .�, i' d� .. 8� F.. L.'��t
xr l'.'r ! f ��,i� R.0 •.I � VT. '.f5,il t ih�u �Y.I �111L•1J � -v l .1- '.
❑ New construction ES1 Ad. .' ' eat Please check all that apply:
3��lli 1(a IJ� ❑Service over 225 amps, comm'I ❑Haau-dous location
❑ Demolition ❑ [7LheN amps - lacing ❑ Buildng over 10,000 sq. ft ,
.
r,l 1`�t t ar, y�1 1 ' e p S l "g ❑of 1 ice over 32 and 2-family -.rating 4 or more new residential
y� � q /I ,, pry I
r',t$fi ); :.iSr.U'�i�.,, ..v • I...N7" �F. i, , ....�..'�I . � ..,�`.l'.7.. � ], a �aPn: � .l 'N w:. , r. r� %..r� y dwell
❑ 1 - and 2 family dwelling 21 Commercial /industrial Q Accessory building ❑Syrrlem over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other: rlBuilding over three stories ❑Feeders, 400 amps or more
CI Occupant load over 99 persons ❑Manufhctured structures or
,ct. +1' •, i - y .., 1 . : ; p {'.P 4; ❑Egre ssl lightin Plan RV park
�`` x;& i'>ni;2s`� ";.�31�� qq � r �,, .�J�.�'1,*OM � ..� : ..1. . ,�, � ';" r aih . g P [] Other:
dr,Y 4.;]rllbn.fd't' Yri9,' ,..r�, � .. ...�
Job no.: 53427 Job site address: 14345 SW 112TH AVE #6 Ell-cart facility
Submit 2 sets of plans with any of the above.
City /State/ZIP: TIGARD, OR 97224 The above are not applicable to temporary cans4ruction service.
Project name: WASHINGTON CV/ HOUSING ':� ' ;: "`:j° `;r ` +��vp11�" ° ��••��r1•� /r f/
". �� 'le'^?ii�.: .•I, +„ � , a �,++, 9Q+i,wb�t,!+�wG ,; .. Sze �� ). ,, w .4:',�.J_- f; ":
Suite/bldg./apt. /apt. no.: #1 cvec _ pesertnusa . I t7s7 Fee. I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
_ Includes atMehed garage.
1,000 sq. A or less 145.15 4
Subdivision: l Lot no.: Ea. addi 500 sq. S. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: _ Limited energy. 75.00 2
9r a �f' yie r ..7TI } • r '7.' • 1 ....1. n 7 �J 7 ..., y , r ,.,
orgy, non - residential 7
;V r � ^; " ,, ! 0 ∎ 0o I
` ?tF ,Y 1. ,.''it'z.1,.l J; iSr Ix.. -m.' . 1d: 0 ;. ? `iAt •risa ..
' ';;i'd trI., ;..1 1 %
, r. Each manufactured or modular
INSTALL NEW METERBASE & PANEL FOR HOUSE LIGHTS & PKNG dwelling, service and/or feeder 90.90 2
_ r. services or feeders installation, alteration, and/ur relocation
LOT LIGHTS 200 amps or less 2 80.30 /60, GQ 2
, .. ; �, , ;m.: ,.,n rn. .I r -:n n-r•� .I - ,.tr r r � r. J I ' . t ".' � � '�: ' { ., 201 amps to 400 amps
106,85 2
f.'d R r ,.. i t s 4 5x"y i l, �• •'�.gliC r l ".r
fi JC - r3Ki�PlK�Pr R aP �k, }i:.;:a.. I:4 h it 17 1 r >, ;',T A;n '. x rl� lr.:t: 401 amps to 600 amps 160.60 2 _
Name: WASHINGTON COUNTY HOUSING 601 amps to 1,000 amps 240.60 2
Address: 111 NE LINCOLN SUITE 200 Over 1,000 amps or volts 454.65 2
Reconnect only , 2
City /State/ZIP: HILLSBORO, OR 97124 Temporary service or feeders Installation, alteration, and/or
relocation
Phone: (503)848 - 4794 1 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.302
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Drench circuits- new, alteration, or extension, per panel
,.;nr , „7 ,p' -r' r r r . J . � ;'iN• . d,'-.: I ' I QN' A. rcc for branch circuits with
l. r ... . ... ''I'? ` I. tL9.,4u:' +.,. r'• G ,s�"T iz , , :,:.!-,-:r , ,....-,, : t `' , ' . �. . "' } n .. ✓H r -t t , ,.' :. , PI 4• r�.ttt7�; i " feeder fee, each service or k f 6.65 C„ 4-5 2
Business name: branch circuit -
- B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each brunch circuit
Address: "
Each odd' branch circuit 6.65 _ 2
City /StateIZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: ( Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
',;L!r�l= r: '':V.." � .: r . :; ;: V.;!('oNrI CIPQRO': j i r `i;'•.,.'t,'.JC : ,V4';,'t:a.�,i : energy panel, alteration. or
extension. Describe: Page 2 2
Business name: Oregon Electric Group _ Address: 1010 SE 11th Ave Each additional inspection over allowable In any of the above
- Per inspection 62.50 •
City /State/ZIP: Portland, OR 97214 .1.... ' investigation per hour (1 hr min) 62.50
Phone: (503) 535 -2652 f Fax: (503) 231 - 3587 • - Industrial plant per hour 73.75 ,:r I,.I
CCR Lie.: 203 Electrical Lie. 2. '5C v. Lie,: 4460S Subtotal /6 7.2, P
Suprv. e'� !. t � , * pjf'j,' Plan review (25% of permit fee)
State suroha (8 of permit fee) �- 3
Print name: r _ Date: 1 _ TOTAL PERMIT BEE / S(C) •
Authorized Si :11itre. This permit application tapirs, Jr. permit is not ohtained within 1130
days after it has bete accepted as complete
Print name: /(,-, ,r I,- t 11 ate: 12/8/04 * Fee methodology set by Tp- County Building industry Service Board
r " Numher crimpectiona par ocmlil dl towed
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested ` — ( AM PM BUP
Location S 4— Suite w / MEC
Contact Person Ph ( ) PLM
Ph ( ) 7 3— 7��� SWR i
BUILDING Tenant/Owner ELC , 40 - 0 1 L k 60
Footing 64-1-6Y1 f(1112-4 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING V r
Post & Beam V +
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
vi e�
IRerou c h-
U Slab
Low Voltag
Fir Ala
(Fin Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line p kV\ � ADA Date 1 ) - 05 I ns ector S RtIN o'V1'vv Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record rom the job site.
PASS PART FAIL